Introduction

Royal Brompton & Harefield NHS Foundation Trust is a partnership of two specialist hospitals which are known throughout the world for their expertise, standard of care and research success. As a specialist trust we only provide treatment for people with heart and lung disease. This means our doctors, nurses and other healthcare staff are experts in their chosen field, and many move to our hospitals from throughout the UK, Europe and beyond, so they can develop their particular skills even further. As the largest provider of cardiothroacic surgery in the UK, we carry out some of the most complicated surgery, and offer some of the most sophisticated treatment that is available anywhere in the world – treating patients from all over the UK and around the globe. The Trust is the only specialist cardiothoracic unit to provide treatment for patients of all age groups.

Services provided

Adult Cardiac Surgery
Thoracic Surgery
Congenital Cardiac Surgery

Rehabilitation and follow up

Follow up is generally 6 weeks to the appropriate surgeon with a discharge back to the GP as required. Cardiac rehabilitation is provided locally for catchment patients or if from an adjacent area the appropriate contact is made with the local hospital&apos;s rehab team to ensure continuity of care.

Access

Royal Brompton Hospital: Limited Pay & Display parking is available near the drop off at the main entrance, with disabled access. South Kensington is the nearest Underground station with several bus routes serving the hospital. Harefield Hospital: On-site carparking is adjacent to the hospital entrance. There are several bus routes that stop in the hospital grounds or close by. The hospital is accessible to wheelchair users.

Visiting hours

Royal Brompton Hospital: Ward visiting is 10.00-13.00 and 14.00-20.00 with a quiet time between 13.00-1400. Intensive care is from 10.00-19.30 with a quiet time from 14.00-16.00. Harefield Hospital: Ward visiting 14:00 – 20:00 daily with a quiet time between 12:00 – 13:00. Intensive care visiting is from 10:00 – 13:00 and 15:00 – 19:45 with a quiet time from 13:00 – 15:00

Cardiac Outcomes

Number and type of operations performed

This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.

The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:

Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.

CABG: Coronary artery bypass grafting

AVR: Aortic valve replacement

MV: Mitral valve procedure

You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.

In-hospital survival rate (risk adjusted)

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.

Average patient risk profile

Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.

Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.

Risk adjusted in-hospital survival for all units

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected in comparison with the other units and surgeons in GB&I.

Thoracic Outcomes

The Royal Brompton and Harefield Trust submit their data as one unified Trust, although they operate services on two separate sites. The thoracic surgery data presented here is for both of these hospitals combined.

LCCOP is a compulsory audit of surgery for lung cancer in NHS hospitals in England. It does not cover SCTS units in the devolved nations or Ireland.

The outcomes of patients undergoing surgery to remove a lung cancer in this Trust in 2015 can be downloaded in PDF form here.

Four outcomes are reported. These are the percentage of patients alive at 30, 90 days and one year after surgery, and the median length of stay before and after a lung cancer operation in this Trust. Survival data are adjusted to take into account some of the characteristics for the patient population being treated.

Beside these numbers are the combined figures for all Trusts in England that undertake lung cancer surgery within the NHS. We have also shown the resection rates for the Trusts who usually referred all or some of their patients to this surgical centre. The resection rate is the number of patients having lung cancer surgery, divided by the total number of lung cancer patients diagnosed by that hospital that year.

Surgeons operating in this hospital

Number of lung cancer operations

McGonigle Niall

77

Lim Eric

47

Ladas George

6

Jordan Simon

18

Dusmet de Smour Michael

80

Beddow Emma

57

Anikin Vladimir

53

(this table shows the names of the surgeons who performed lung cancer surgery in this hospital in 2015, and the number of operations they performed that year)

Other thoracic surgery undertaken by this team

Thoracic surgery units undertake surgery for other cancers within the chest such as thymoma or mesothelioma, collapsed lungs known as pneumothorax, major infections and to biopsy suspicious areas, among other surgery. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital for the 2015-16 audit year* is given below: